Appendix_A_Applicable_Pubs.doc

APPENDIX A

APPLICABLE PUBLICATIONS AND FORMS. and Standard Clinic Procedures

Publications and forms applicable to this PWS are listed below. The Contractor is obligated to follow these publications only which are cited as mandatory; all others are advisory and are furnished for information only. These publications are available in the MTF and maintained by the Government. Supplements or amendments to listed publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes in publications which result in a decrease or no change in the price and notify the CO in writing of such change. Should a decrease in contract price result, the Contractor shall provide a proposal for reduction in the price to the CO. Prior to implementing any change that will result in an increase; the Contractor shall submit to the CO a price proposal within 30 days of receipt of the change by the Contractor. The CO and the Contractor shall negotiate the change into the contract under the provisions of the contract clause entitled “Changes”. Failure of the Contractor to submit a price proposal within 30 days from receipt of the change shall entitle the Government to performance in accordance with such change at no increase in price.

DoD REGULATIONS/MANUALS/INSTRUCTIONS/DIRECTIVES

PUB NO.

TITLE

DATE

DoD Instruction 1402.5 Criminal History Background Checks on Individuals 19 Jan 1993 in Child Care Services.

AIR FORCE REGULATIONS/MANUALS

AFMAN 33-152

User Responsibilities and Guidance for Information 1 Jun 12

Systems

AFMAN

33-282 Computer Security

27 Mar 12

AFMAN 33-283

Communications Security (COMSEC)

3 sep 14

AFI 33-332

Air Force Privacy Act and Civil Liberties Program;

12 Jan 15

AFI 40-102

Tobacco Free Living

4 Mar 15

AFI 44-119

Medical Quality Operations

16 Aug 2011

AFI 44-102

Medical Care Management

17 Mar 15

AFI 41-117

Medical service Officer Education

25 Mar 15

Standard Form (SF) 85P Questionaire for Public Trust Positions

Sep 1995

21ST MEDICAL GROUP REGULATIONS

MDGI 36-11 Personnel Reliability Program (PRP)

6 Feb 12

MDGI 41-06

CPR, ACLS, PALS Training & Code Blue Exercises 2 Dec 11

MDGI 44-05

Infection Control

31 Jan 14

OTHER REFERENCES

Health Insurance Portability and Accountability Act (HIPAA) OF 1996; Notice of Privacy Practices for the Original Medicine Plan, and Program Memorandum Intermediaries/Carriers 26 Sept 2003 Physician Assistant Scope of Practice published by the American Academy of Physician Assistants (June 2007) American Academy of Nurse Practitioners Standards of Practice for Nurse Practitioners (1993)

U.S. Office of Personnel Management Operating Manual Qualification Standards for General Schedule Positions Individual Occupational Requirements for GS-620: Practical Nurse Series (March 1999)

Medical Assistant Role Delineation Chart from the AAMA Role Delineation Study. Published by American Association of Medical Assistants (2003)

STANDARD CLINIC PROCEDURES

Contractor personnel shall follow clinic procedures for items such as:

REFERRALS AND CONSULTS: The provider shall follow DoD, AF, and MTF regulations and policies when arranging for a referral or consult. The provider shall inform patients of the required referral or consult by indicating the specialty involved. All consults and referrals will adhere to the MTF’s approved Consult Management process.

· Prepare and review case histories and clinical records.

· Perform and direct diagnostic procedures, including x-ray examinations and clinical laboratory tests. Interpret test results and evaluate examination findings.

· Approving/disapproving specialty and subspecialty referrals.

· Answering patient telephone consults with the assistance of clinic staff.

PRESCRIPTIONS:

The provider shall use and follow the MTF’s formulary for prescriptions for all patients that received care at the MTF. The formulary list is approved and maintained by the MTF’s Pharmacy and Therapeutics Committee. Any drug not listed on the formulary shall be approved by the Pharmacy and Therapeutics Committee prior to routine use.

APPX A